Individual provider Active NPI

Carl Stephen Cramer, PA-C

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1750604096
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200318 Issued in LA
Practice address
5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone
(225) 358-2280
NPI assigned
Mar 1, 2010
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200318 LA Primary

Addresses

Primary practice location

5439 Airline Hwy
Baton Rouge, LA 70805-1712

Mailing address

5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone (225) 358-2280

Other identifiers 1

IdentifierTypeStateIssuer
2173669MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130808000697 LA Practitioner - Physician Assistant 0143461061 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Urgent Care Ascension LLCGroup PAC ID 0244479095, 22 clinicians
Convenient Care LLCGroup PAC ID 1153306816, 36 clinicians

Practice addresses (Care Compare)

10714 Hwy 431
Saint Amant, LA 70774-3904
Phone (225) 644-0005

123 Lee Dr
Baton Rouge, LA 70808-4954
Phone (225) 302-5757

12525 Perkins Rd
Baton Rouge, LA 70810-1907

13686 Coursey Blvd
Baton Rouge, LA 70817-1303
Phone (225) 246-8000

14350 Hwy 73
Prairieville, LA 70769-3617
Phone (225) 313-3930

29373 Walker Rd S
Lake After Hours Walker
Walker, LA 70785-7904
Phone (225) 831-8833

31985 La Hwy 16
Denham Springs, LA 70726-1462
Phone (225) 791-8800

3282 Drusilla LN
Baton Rouge, LA 70809-1862
Phone (225) 924-3906

40546 Hwy 42
Prairieville, LA 70769-5250
Phone (225) 744-4988

8249 Vincent Rd
Denham Springs, LA 70726-6279
Phone (225) 480-1210

8751 Sullivan Rd
Baton Rouge, LA 70818-6014
Phone (225) 262-8377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Physician Assistant CurrentSince Dec 1, 2014 Accepting new patients
Convenient Care LLC CurrentSince Jan 22, 2014 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Jun 17, 2013 Accepting new patients
Lourdes After Hours LLC CurrentSince Jan 23, 2019 Accepting new patients
Convenient Care LLC CurrentSince Jan 22, 2014 Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

1700 Kaliste Saloom Rd
Ste 200
Lafayette, LA 70508
Phone (337) 981-5085

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1750604096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051712",
            "telephone_number": "225-358-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051712",
            "telephone_number": "225-358-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "CARL",
        "middle_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173669",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.